Provider Demographics
NPI:1215989553
Name:THOMPSON, NANCY M (LMHC,LCMHC,LADCI, NC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMHC,LCMHC,LADCI, NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 DUNVEGAN WOODS
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-2388
Mailing Address - Country:US
Mailing Address - Phone:603-918-8242
Mailing Address - Fax:
Practice Address - Street 1:106 DUNVEGAN WOODS
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-2388
Practice Address - Country:US
Practice Address - Phone:603-918-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional